3. Vital Signs Measurements of the body’s most basic functions 4 main vital signs routinely monitored by healthcare providers are:  temperature  pulse rate  respiration rate  blood pressure

4. Temperature Definition: A measurement of heat produced by the body

5. Name the routes a temperature can be taken? Oral Axillary Rectal Tympanic Temporal 0123456789 0123456789 0123456789 0123456789 0123456789 Refer to notes section below for help or tips about this slide. Copyright © 2012 Training Games, Inc.

6. Types of Thermometers Digital Glass Temporal Tympanic Which is the most accurate?

7. A JH GYI BNME The most accurate method to take a temperature is… teaclr ANSWER: Rectal Temperature Refer to notes section below for help or tips about this slide. Copyright © 2012 Training Games, Inc.

8. Normal Temperature Range Oral  98.6F Axillary  97.6F  One degree lower than oral Rectal  99.6F  One degree higher than oral Tympanic/Temporal  Same as rectal 97°F - 100°F

9. Reasons temperature may vary? Where temperature taken Time temperature taken Individual differences Drinking, eating, smoking, oxygen Vampire 0123456789 0123456789 0123456789 0123456789 0123456789 Refer to notes section below for help or tips about this slide. Copyright © 2012 Training Games, Inc.

10. Fever Fever, febrile, hyperthermia all describe someone who has an elevated temperature (over 100F) over103F High fever over 103F Moderatefever 100- 103F Moderate fever 100- 103F Hypothermia:< 96F Hypothermia: < 96F

11. How Long to Obtain an Accurate Reading?  Tympanic/Temporal  Rectal  Oral  Axillary  Digital thermometers seconds 2 minutes 3 minutes 4-5 minutes Wait for “beep”

12. Reading Glass Thermometers By degree and tenth of a degree Never place fingers on bulb of thermometer Hold the thermometer at eye level, slowly rolling it between the thumb and forefinger until a colored line appears Focus on where the line stops

13. Reading Glass Thermometers 100.2°F 101.6°F96.8°F

14. Glass Thermometers Routes  Probes for electronic & mercury-free ends may be color coded  Blue = oral/axillary  Red = rectal

15. Temperature Do not take oral temperatures on:  Preschool children and younger  Patients with oxygen  Delirious, confused, disoriented patients  Comatose patients  Patients with nasogastric tubes  Patients with recent oral surgery  Patients who are vomiting/nauseated Do not take rectal temperatures on:  Patients who’ve had rectal surgery  Combative patients

16. Charting Temperature Must note how temperature was taken when charting  99.2°F  99°F Ax  98.2°F R  97.4°F Tym  102.1°F TA Oral Auxiliary Rectal Tympanic Temporal Artery

17. Converting Between Fahrenheit and Celsius °C = °F – 32 1.8 °F = (°C x 1.8) + 32 Know both formulas!

18. Converting Between Fahrenheit and Celsius °C = °F – 32 1.8 The pt. temp is 99.6 °F. You must convert to degrees Celsius in order to chart. 99.6 Step 1 °C = 99.6 °F – 32 1.8 67.6 Step 2 °C = 67.6 1.8 37.55 Step 3 °C = 37.55 (37.6)

19. Converting Between Fahrenheit and Celsius °F = (°C x 1.8) + 32 The pt. temp is 38.6 °C. The pt. wants to know the temperature in degrees Fahrenheit. 38.6 Step 1 °F = (38.6 x 1.8) + 32 69.48 Step 2 °F = 69.48 + 32 101.48 Step 3 °F = 101.48 (101.5)

20. Fred 99.6°F Digital/Oral Bill 101.1°F Temporal Sally 96.8°F Glass/Oral Wilma 97.7°F Tympanic Betty 37.5°C Electronic/Oral Bert 36.8°C Thermal/Oral Convert each temperature showing all math!

21. Temperature Lab Rotate through each station following written directions! * * Use probe covers! ** ** Clean thermometer with alcohol prep pad after each use. *** 1. Oral Digital * ** * 2. Electronic Oral * ** 3. Temporal ** 4. Reading a Thermometer WS *** 5. Oral Glass * ** 6. Temperature Conversions 7. Oral Strips * 8. Tympanic *

22. Temperature Lab Station 1 Oral Digital Follow manufacturer directions Use probe covers! Clean thermometer with alcohol prep pad after each use.

23. Temperature Lab Station 2 Electronic Oral Follow directions on page 342 Use probe covers! Dispose of probe cover after each use.

24. Temperature Lab Station 3 Temporal Thermometer Follow directions on back of thermometer Clean head with alcohol prep pad after each use.

25. Temperature Lab Station 4 Reading a Thermometer Worksheet Due next class

26. Temperature Lab Station 5 Oral Glass Follow directions page 334 Use probe covers! Dispose of probe covers after each use then clean thermometer with alcohol prep pad

27. Temperature Lab Station 7 Oral Strips Follow manufacturer instructions on box. Dispose of oral strips use. Oral Strip Another example of a disposable strip thermometer used on the forehead

28. Temperature Lab Station 8 Tympanic Thermometer Follow instructions on page 336. Dispose of probe cover after each use.